In which location are cerebral haemorrhagic contusions most difficult to identify?
Near the skull base. This is especially the case with small contusions due to partial voluming. These are seen best with coronal reformats.
Brain
- Multiple small bilateral inferior frontal haemorrhagic contusions.
- Small volume associated traumatic subarachnoid.
- Undisplaced right anterior frontal calvarial fracture extending superiorly through the sagittal suture to the contralateral side near the vertex. Associated small to moderate scalp haematoma overlying the vertex.
- Minimally displaced fracture of the left C4-C7 transverse processes.
- The C6 fracture is markedly comminuted and involves the left C6 superior and inferior facets and articular pillar, with involvement of the left C6 foreman transversarium.
- Fractures of the posterior arches of C6 bilaterally.
- Anterior compression fracture of the C7 vertebral body.
- Minimally displaced C5 spinous process fracture.
- Associated widening/subluxation of the C6/7 disc space and bilateral C6/7 facet joints.
C-spine